Property & Casualty Claims Assistant

Job Title

Property and Casualty Claims Assistant

Department

Property & Casualty

Reports to

Property & Casualty Insurance Director

Vice President

Business Development

Nature of Work in this Position: This position will be assisting the Property & Casualty Claims Adjuster to ascertain the extent of liability of the Company. This position will be responsible for providing support to the Claims Department in order to ensure the efficient handling of claims. The role involves processing new claims, managing customer inquiries and administration of the claims process.

Illustrative Examples of Work:

• Process claims filed by customers on a daily basis
• Assist in the preparation of claims documents
• Provide administrative support for the Claims Team
• Liaise with clients and external parties
• Meets with clients to gather pertinent information regarding the claim
• Explains estimates and witnesses to determine the amount of money to be paid out
• Assist Claims Adjuster to observe video or surveillance, examine statements and photographs, and consult hospital and police records to determine what actually happened to cause the damage
• Assist the Claims Adjuster with Mitchell software program to determine the value of specific damages
• Utilizes the Company’s Applied System – Epic, a data base platform where all loss reserves, payment and recovery transactions (subrogated claims) are entered onto this system
• Maintain accurate records and filing
• Maintains a log book of all subrogated claims
• Monitors and conducts regular follow ups with third party carriers to ensure collection of all subrogated claims
• Consults, if necessary, other professionals, such as accountants, lawyers, physicians, and engineers, to get expert opinions about the event that caused the damage or injury
• Documents all findings in a concise claims report
• Assists Claims Adjusters in litigation cases if claims are contested
• Undertake research and investigation as required
• Assist Claims Adjusters with settlement value of a claim and the basis, ensure it is communicated to the Insured/claimant within two business days of the determination of the amount owed.
• Prepares documents and reports associated with estimates and which are otherwise necessary to process claims. Requests checks for proper claims when repairs are completed. Provides claimants with such checks and have claimants sign as appropriate releases of claims. Forward reports to the insurance carrier and maintains files of information pertaining to all claims.
• Assist Claims Adjuster in providing information needed to complete monthly claims report, outstanding claims, losses incurred, and loss ratios
• Contact claimant and issues payout to claimant
• Maintains a current crash manual and other pertinent sources of data that accurately reflect accepted standards in estimating automobile repairs.
• Assist Claims Adjuster with providing reviews of our current practices, rates and performance of auto repair shops to assure their work and prices are compatible with the company’s standards.
• Adheres to established best practices, procedures, statues, regulations and laws
• Performs related duties as required. (Related duties are duties that may not be specifically listed in the class specification or position description, but that are within the general occupational series and responsibility level typically associated with the employee’s class of work.)

Knowledge / Skills / Abilities:

• Strong customer service orientation, verbal and written communication and teamwork skills to provide excellent customer satisfaction
• Attention to detail and quality focused, excellent decision-making, problem solving and organizational skills
• Ability to use a personal computer with basic use of Microsoft Word and Microsoft Excel
• Ability to prepare routine letters and other correspondences, meet report deadlines and maneuver between multiple windows on a daily basis
• Ability to multi-task duties and manage time efficiently
• Ability to meet company attendance and punctuality requirements
• Ability to read, write and interpret legal correspondences relating to property and casualty claims.

Minimum Experience and Training:

Any combination of education and experience providing the required skill and knowledge for successful performance would be qualifying. Typical qualifications would be equivalent to:

• A high school diploma or equivalent;
• 2 years P&C Claims work-related experience.
• Automobile Estimator work-related experience preferred but not required
• Proficient in the use of Microsoft Office (Excel, Word, PowerPoint, Outlook); and
• Computer literate (Windows).

Note: This job specification should not be construed to imply that these requirements are the exclusive standards of the position. Incumbents will follow any other instructions, and perform any other related duties, as may be required by their supervisor.

This job entails access to PHI / ePHI data. Any personally identifiable health information, including genetic and demographic data, collected from an individual by a covered entity. This includes information related to an individual's past, present, or future physical or mental health, healthcare provision, or payment. PHI includes information like the patient's name or other identifiable data. It excludes information in education records and employment records held by a covered entity. PHI also excludes information related to individuals who have been deceased for more than 50 years. The hired individual is expected to maintain policies and procedures to ensure compliance with HIPPAA regulations in handling PHI/ePHI data.

Pay: $14.04 per hour

Expected hours: 40.0 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Work Location: In person